RESIDENTIAL TREATMENT

“The Nelson Trust helped me to get my life back, gave me hope, strengthened my body so that I can do a mud-run and empowered me to feel like a sure footed woman again.”

Women’s Service client

We place equal importance on helping people to recover from their addiction as we do on helping them re-build a positive, independent life in order to sustain their abstinence once they have left our care.

Our programme is for men and women seeking an abstinence-based residential treatment programme to achieve lasting recovery from drug and alcohol addiction.

We are situated in the Cotswolds, an Area of Outstanding Natural Beauty. We have four residential treatment houses in the village of Brimscombe, near Stroud, with safe women only and mixed accommodation.

In 2019 we have been awarded ‘Good’ from CQC across all areas of The Nelson Trust’s Residential Rehabilitation Services. Take a look at the report.

How long does the programme last?

Your care plan is designed for a period of 12 to 24 weeks. However, individual circumstances and needs vary and some clients need to extend or reduce their stay. We review progress regularly and clients are involved in planning their move-on in a way that meets their personal needs.

Many of our clients come to us with nothing. They may have lost relationships, jobs, sometimes their home and their children. They leave us with improved health and the tools, support and friendships they need to change the whole of their life. From one framed by dependence on substances to a life of independence and fulfilment.

Specialist Women’s Programme

Our Women’s Residential Treatment Programme is particularly suited to those with a history of childhood sexual abuse; domestic or sexual violence; sex-working; women with a pattern of relapse linked to forming unhelpful relationships with men, perhaps in previous treatment episodes.

We provide a therapeutic environment and women-only treatment houses where women can work together to address their substance misuse and any underlying issues safely.

WOMEN’S PROGRAMME

A programme tailored to you

Our programme is holistic and client-centred. We build personally-tailored care plans for each client based on their individual needs, circumstances and personal strengths. We consider not only addiction itself, but also the physical and mental health of each client, their emotional well-being, their family circumstances and their needs in respect of finances, housing, education, training and wider social integration. Our aspiration for every client is that they complete treatment with the confidence to sustain their recovery, maintain abstinence from drugs and alcohol, and have a clear plan of action to attain their future goals and ambitions.

An integrative approach

Treatment is based on firm clinical evidence and is in line with Department of Health guidance on best treatment practice. This means that we use a range of therapeutic techniques including cognitive behavioural therapy (CBT), motivational interviewing (MI) and mindfulness.

A personal recovery programme, therapeutic groups and workshops are interwoven with education, recreational activities, practical support and the day-to-day routines of a therapeutic community and it is the whole of this programme that comes together to provide a comprehensive plan of action to address treatment care and support needs.

Residential treatment workshops

We provide an empowering learning environment for clients of the Nelson Trust’s Residential Rehab to attend a mixed programme of workshops to complement their therapeutic treatment journey. Classes are provided by SGS College, Adult Education Gloucestershire, WEA as well as our independent team of tutors. Check out our current timetable

What will life be like in rehab?

We make every effort to create a safe, supportive and friendly community. Shopping, cooking and sharing meals together, alongside daily routines bring people together and many lifelong friendships are made here. You can see some of the activities in our therapeutic programme where you will learn, develop and grow in your recovery.

RECOVERY PLAN

Evidence-based practice

The Nelson Trust has been an initiator of many partnerships and has piloted innovative services in the fields of addiction, family therapy and work with women with complex needs. At the heart of our innovation always lies the learning from those we work with, listening to their needs, their strengths and their ambitions has always directed the work we do.

We follow our experience and models of good practice, we systematically monitor our work in order to celebrate clients’ progress but also to enable action-learning to happen from the bottom-up and improve our practice and services. This process is guided by our monitoring of key client outcomes, which enables us to check the progress clients make against our overall aim of supporting people affected by drug and/or alcohol addiction to recover and thrive in their communities.

We are able to map how our specific aims (such as improving clients’ understanding of patterns of addictive behaviour, developing their life skills, enabling them to create safety in their lives) are achieved by providing activities (provide counselling, psycho-educational activities, employability courses & parenting groups in a trauma and gender-responsive environment, & provide advocacy & 1-2-1 advice on housing, finances, domestic violence, etc.) which translate into outcomes by measuring key indicators (number of clients completing treatment drug and/or alcohol free, number of clients co-producing a care plan during treatment, number of clients accessing relevant interventions).

NICE Quality Standard QS11 https://www.nice.org.uk/guidance/qs11 – Alcohol dependence and harmful alcohol use
NICE Quality Standard QS23 https://www.nice.org.uk/guidance/qs23 – Drug use disorders
NICE Clinical Guideline CG115 https://www.nice.org.uk/guidance/cg115 – Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence
NICE Clinical Guideline CG100 https://www.nice.org.uk/guidance/cg100 -Alcohol-use disorders: Diagnosis and clinical management of alcohol-related physical complications
NICE Clinical Guideline CG51 https://www.nice.org.uk/guidance/cg51 – Drug Misuse: psychosocial interventions
NICE Clinical Guideline CG133 https://www.nice.org.uk/guidance/cg133/resources/selfharm-in-over-8s-longterm-management-pdf-35109508689349- Self-Harm in over 8s Long term management
NICE Clinical Guideline SC1 https://www.nice.org.uk/guidance/sc1 Managing Medications in Care Homes

We also learn from published evidence of effective practice: for example our programme closely corresponds to Dr Covington’s core principles of trauma-informed care, David Best model of Recovery Capital, motivational interviewing, etc.

Standardised Alcohol Screening Questionnaire collected at assessment
Treatment Outcomes Profile is a standardised questionnaire measuring substance use, health, crime and social functioning domains administered at entry into treatment and every three months after that.
Adverse Childhood Experiences Questionnaire measures the level of trauma a client presents with at entry into treatment.
Level of Burden measures the impact of multiple problems (health, mental health, housing, financial, family, education, eating disorders, trauma, domestic violence, sex working) that clients present at entry into and exit from treatment.
CORE – 10 measures common presentations for psychological distress and is administered at the beginning of a counselling intervention and at the end of the intervention.
Hospital Anxiety and Depression Standardised Scale measures the presence and severity of mild degrees of mood disorder, anxiety and depression at the beginning of a counselling intervention and at the end of the intervention.
Warwick-Edinburgh Mental Wellbeing Scale assesses mental wellbeing and clients complete it at the end of 1st and 2nd of the treatment.

The data collected through these tools is fed into the key performance indicators routine monitoring.